Child eating behavior predicts body mass index after 1 year: results from the Swiss Preschooler’s Health Study (SPLASHY)
Child obesity is a growing global issue. Preventing early development of overweight and obesity requires identifying reliable risk factors for high body mass index (BMI) in children. Child eating behavior might be an important and malleable risk factor that can be reliably assessed with the parent-r...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-04-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1292939/full |
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| author | Yoan Mihov Andrea H. Meyer Andrea H. Meyer Tanja H. Kakebeeke Tanja H. Kakebeeke Kerstin Stülb Amar Arhab Annina E. Zysset Claudia S. Leeger-Aschmann Einat A. Schmutz Susi Kriemler Oskar G. Jenni Oskar G. Jenni Jardena J. Puder Nadine Messerli-Bürgy Simone Munsch |
| author_facet | Yoan Mihov Andrea H. Meyer Andrea H. Meyer Tanja H. Kakebeeke Tanja H. Kakebeeke Kerstin Stülb Amar Arhab Annina E. Zysset Claudia S. Leeger-Aschmann Einat A. Schmutz Susi Kriemler Oskar G. Jenni Oskar G. Jenni Jardena J. Puder Nadine Messerli-Bürgy Simone Munsch |
| author_sort | Yoan Mihov |
| collection | DOAJ |
| description | Child obesity is a growing global issue. Preventing early development of overweight and obesity requires identifying reliable risk factors for high body mass index (BMI) in children. Child eating behavior might be an important and malleable risk factor that can be reliably assessed with the parent-report Child Eating Behavior Questionnaire (CEBQ). Using a hierarchical dataset (children nested within child care centers) from a representative cohort of Swiss preschool children, we tested whether eating behavior, assessed with a 7-factor solution of the CEBQ, and BMI at baseline predicted the outcome BMI after 1 year, controlling for socioeconomic status (n = 555; 47% female; mean age = 3.9 years, range: 2.2–6.6; mean BMI = 16 kg/m2, range: 11.2–23; mean age- and sex-corrected z-transformed BMI, zBMI = 0.4, range −4 to +4.7). The statistical model explained 65.2% of zBMI at follow-up. Baseline zBMI was a strong positive predictor, uniquely explaining 48.8% of outcome variance. A linear combination of all CEBQ scales, taken together, explained 10.7% of outcome variance. Due to their intercorrelations, uniquely explained variance by any individual scale was of negligible clinical relevance. Only food responsiveness was a significant predictor, when accounting for all other predictors and covariates in the model, and uniquely explained only 0.4% of outcome variance. Altogether, our results confirm, extend, and refine previous research on eating behavior and zBMI in preschool children, by adjusting for covariates, accounting for intercorrelations between predictors, partitioning explained outcome variance, and providing standardized beta estimates. Our findings show the importance of carefully examining the contribution of predictors in multiple regression models for clinically relevant outcomes. |
| first_indexed | 2024-04-24T15:28:10Z |
| format | Article |
| id | doaj.art-c8c31f4f3c854d78892126c05b061887 |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-04-24T15:28:10Z |
| publishDate | 2024-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-c8c31f4f3c854d78892126c05b0618872024-04-02T05:26:35ZengFrontiers Media S.A.Frontiers in Psychology1664-10782024-04-011510.3389/fpsyg.2024.12929391292939Child eating behavior predicts body mass index after 1 year: results from the Swiss Preschooler’s Health Study (SPLASHY)Yoan Mihov0Andrea H. Meyer1Andrea H. Meyer2Tanja H. Kakebeeke3Tanja H. Kakebeeke4Kerstin Stülb5Amar Arhab6Annina E. Zysset7Claudia S. Leeger-Aschmann8Einat A. Schmutz9Susi Kriemler10Oskar G. Jenni11Oskar G. Jenni12Jardena J. Puder13Nadine Messerli-Bürgy14Simone Munsch15Department of Psychology, Clinical Psychology and Psychotherapy, University of Fribourg, Freiburg, SwitzerlandDepartment of Psychology, Clinical Psychology and Psychotherapy, University of Fribourg, Freiburg, SwitzerlandDepartment of Psychology, University of Basel, Basel, SwitzerlandChild Development Center, University Children’s Hospital Zurich, Zurich, SwitzerlandChildren’s Research Center, University Children’s Hospital Zurich, Zurich, SwitzerlandDepartment of Psychology, Clinical Psychology and Psychotherapy, University of Fribourg, Freiburg, SwitzerlandObstetric Service, Department Woman-Mother-Child, Lausanne University Hospital, Lausanne, SwitzerlandChild Development Center, University Children’s Hospital Zurich, Zurich, SwitzerlandEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, SwitzerlandEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, SwitzerlandEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, SwitzerlandChild Development Center, University Children’s Hospital Zurich, Zurich, SwitzerlandChildren’s Research Center, University Children’s Hospital Zurich, Zurich, SwitzerlandObstetric Service, Department Woman-Mother-Child, Lausanne University Hospital, Lausanne, SwitzerlandInstitute of Psychology, FADO, University of Lausanne, Lausanne, SwitzerlandDepartment of Psychology, Clinical Psychology and Psychotherapy, University of Fribourg, Freiburg, SwitzerlandChild obesity is a growing global issue. Preventing early development of overweight and obesity requires identifying reliable risk factors for high body mass index (BMI) in children. Child eating behavior might be an important and malleable risk factor that can be reliably assessed with the parent-report Child Eating Behavior Questionnaire (CEBQ). Using a hierarchical dataset (children nested within child care centers) from a representative cohort of Swiss preschool children, we tested whether eating behavior, assessed with a 7-factor solution of the CEBQ, and BMI at baseline predicted the outcome BMI after 1 year, controlling for socioeconomic status (n = 555; 47% female; mean age = 3.9 years, range: 2.2–6.6; mean BMI = 16 kg/m2, range: 11.2–23; mean age- and sex-corrected z-transformed BMI, zBMI = 0.4, range −4 to +4.7). The statistical model explained 65.2% of zBMI at follow-up. Baseline zBMI was a strong positive predictor, uniquely explaining 48.8% of outcome variance. A linear combination of all CEBQ scales, taken together, explained 10.7% of outcome variance. Due to their intercorrelations, uniquely explained variance by any individual scale was of negligible clinical relevance. Only food responsiveness was a significant predictor, when accounting for all other predictors and covariates in the model, and uniquely explained only 0.4% of outcome variance. Altogether, our results confirm, extend, and refine previous research on eating behavior and zBMI in preschool children, by adjusting for covariates, accounting for intercorrelations between predictors, partitioning explained outcome variance, and providing standardized beta estimates. Our findings show the importance of carefully examining the contribution of predictors in multiple regression models for clinically relevant outcomes.https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1292939/fullCEBQeating behaviorBMIpreschoolerSPLASHY |
| spellingShingle | Yoan Mihov Andrea H. Meyer Andrea H. Meyer Tanja H. Kakebeeke Tanja H. Kakebeeke Kerstin Stülb Amar Arhab Annina E. Zysset Claudia S. Leeger-Aschmann Einat A. Schmutz Susi Kriemler Oskar G. Jenni Oskar G. Jenni Jardena J. Puder Nadine Messerli-Bürgy Simone Munsch Child eating behavior predicts body mass index after 1 year: results from the Swiss Preschooler’s Health Study (SPLASHY) Frontiers in Psychology CEBQ eating behavior BMI preschooler SPLASHY |
| title | Child eating behavior predicts body mass index after 1 year: results from the Swiss Preschooler’s Health Study (SPLASHY) |
| title_full | Child eating behavior predicts body mass index after 1 year: results from the Swiss Preschooler’s Health Study (SPLASHY) |
| title_fullStr | Child eating behavior predicts body mass index after 1 year: results from the Swiss Preschooler’s Health Study (SPLASHY) |
| title_full_unstemmed | Child eating behavior predicts body mass index after 1 year: results from the Swiss Preschooler’s Health Study (SPLASHY) |
| title_short | Child eating behavior predicts body mass index after 1 year: results from the Swiss Preschooler’s Health Study (SPLASHY) |
| title_sort | child eating behavior predicts body mass index after 1 year results from the swiss preschooler s health study splashy |
| topic | CEBQ eating behavior BMI preschooler SPLASHY |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1292939/full |
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